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ALL FAMILY WALK-IN CLINIC LLC NPI 1558948455


NPI Information

NPI: 1558948455
Provider Name: ALL FAMILY WALK-IN CLINIC LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 10D2227939

Address:
13462 TAFT STREET
BROOKSVILLE, FL
ZIP 34613
Phone: (352) 600-8822
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ALL FAMILY WALK-IN CLINIC LLC is a family nurse practitioner in Brooksville, FL. ALL FAMILY WALK-IN CLINIC LLC NPI is 1558948455. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13462 TAFT STREET
BROOKSVILLE, FL
ZIP 34613
Phone: (352) 600-8822
Fax: (352) 600-8883

The provider's authorized official is Kelly Gordon .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (352) 600-8822.

The CLIA number assigned to this NPI record is 10D2227939 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/26/2021 and was last updated on 3/14/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.